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SAN j AQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> - _C.c U N s`. LOT LANE ADJUSTMENT <br /> T <br /> FILE NUMBER <br /> Owner Information Applicant Information <br /> Name: 12,'✓er'eliz >lS Name: S14c?c�?Lny Ict .5��'✓c 4 <br /> Mailing Address: j 3t)j , .,ar rn sfr�,z= j��. Mailing Address: <br /> 1{ <br /> Phone: Ze 9 •- f 23 — q,,1,0 Phone: Z-09— 533—/9—/Z_ <br /> 1 Email: S J T Com' ht+�t� 4',',u� �✓�S, CO ti Email: A/1 ie_S/Vc /eu ES�iVW.« <br /> Applicant's Representative Information Design Professional Information <br /> j Name Name: <br /> Mailing Address: Mailing Address: -- .L <br /> Phone: Phone: <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> --l7 L bCo/ �/ D ✓l� ['X/ /Z �i'�.lL�f S <br /> 1 <br /> A <br /> ' Property Information <br /> Assessor Parcel Property Address Property General Zoning Williamson Act <br /> { Number Size Plan Contract(Y or N) <br /> o/` 70- 7 Af 1&4 , . 614-rw- !. ca,Q-c Alb VV u <br /> J <br /> 1 <br /> Page 9 of 3 <br /> Updated 09/0.1/2020 <br />